Federal inspection record · CMS data as of October 1, 2026
Autumn Lake Healthcare At Birch Manor
7309 Second Avenue, Sykesville, MD · (410) 795-1100
- Certified beds
- 118
- Residents per day
- 109
- Ownership
- For-Profit
- Chain
- Autumn Lake Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1981
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Autumn Lake Healthcare At Birch Manor carries 124 inspection points. That is fewer than 29% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
87 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights24E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- C
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning16F
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure a qualified health professional conducts resident assessments.
Quality of Life and Care16E
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service6E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Environmental5F
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
- D
Have enough outside ventilation via a window or mechanical ventilation, or both.
- F
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary5E
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration4E
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Nursing and Physician Services2D
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- C
Post nurse staffing information every day.
Inspection history
2025-06-11
25 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2021-06-09
24 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2018-08-03
38 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 13 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 23% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 1.8 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts better | 98.7% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 99.0% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 3.3% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.7 pts better | 12.1% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 4.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 16.7% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 9.5% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.6 pts better | 15.3% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse | 28.8% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.6% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 28.9% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4 pts better | 1.7% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 95.7% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better | 5.7% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better | 92.6% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts better | 19.2% | 20.2% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 7309 Second Avenue Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 7309 Second Avenue Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 7309 Second Avenue Propco LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 7309 Second Avenue Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Accurate Staffing LLC | Adp Of The SNF · Organization | 0% | 42 facilities |
| As Family Md4 Holdings LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Dave, Mitul | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Dave, Mitul | Adp Of The SNF · Individual | 0% | 3 facilities |
| Kendell, Zina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kendell, Zina | Adp Of The SNF · Individual | 0% | 1 facilities |
| M Meisels Family Holdings LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Schwartz, Mark | Corporate Officer · Individual | 0% | 56 facilities |
| Schwartz, Mark | Operational/Managerial Control · Individual | 0% | 56 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- B
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness5F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- C
Create arrangements with other facilities to receive patients.
- C
Establish emergency prep training and testing.
- C
Establish staff and initial training requirements.
- C
Address patient/client population and determine types of services needed.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- C
Meet requirements for the installation and maintenance of electrical systems.
- C
Have proper medical gas storage and administration areas.
- C
Have proper medical gas storage and administration areas.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Willowbrooke Court Skilled Care Center Fairhaven
Sykesville, MD · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 17 min
- Fines
- $0
-
Copper Ridge Nursing And Assisted Living Center
Sykesville, MD
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 34 min
- Fines
- $37,436
-
Chapel Hill Nursing Center
Randallstown, MD · Ephram Lahasky
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $13,247